Evidence map›Paper›PMID 25079400›Full record

Trial reportJournal of periodontology2014

Effect of intensive oral hygiene regimen during pregnancy on periodontal health, cytokine levels, and pregnancy outcomes: a pilot study.

Maninder Kaur, Maria L Geisinger, Nicolaas C Geurs, Russell Griffin, Philip J Vassilopoulos, Lisa Vermeulen, Sandra Haigh, Michael S Reddy

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of periodontology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  9. Effectiveness of Customized Animated Video-Based Oral Health Education Compared With Conventional Model-Based Education on Oral Hygiene Status and Practices Among Pregnant Women Attending a Tertiary Care Hospital: A Single-Blind Randomized Controlled Trial.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
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  12. Alzheimer's Disease andLife (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Maninder KaurDepartment of Periodontology, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL.
Maria L Geisinger
Nicolaas C Geurs
Russell Griffin
Philip J Vassilopoulos
Lisa Vermeulen
Sandra Haigh
Michael S Reddy
University of Alabama at Birmingham · US

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Stuart J Frank · 2013 to 2026
$19.5M
UAB Center for Clinical and Translational Science (CCTS) UL1UL1TR000165 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLY, ROBERT P. · 2012 to 2013
$9.6M
NCATS NIH HHS UL1 TR000165NCATS NIH HHS UL1TR00165NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

backgroundData are limited on the potential effect of intensive oral hygiene regimens and periodontal therapy during pregnancy on periodontal health, gingival crevicular fluid (GCF) and serum cytokines, and pregnancy outcomes.

methodsA clinical trial was conducted on 120 community-dwelling, 16- to 35-year-old pregnant women at 16 to 24 weeks of gestation. Each participant presented with clinical evidence of generalized, moderate-to-severe gingivitis. Oral hygiene products were provided, together with instructions for an intensive daily regimen of hygiene practices. Non-surgical therapy was provided at baseline. Oral examinations were completed at baseline and again at 4 and 8 weeks. In addition, samples of blood and GCF were collected at baseline and week 8. Mean changes in clinical variables and GCF and serum cytokine levels (interleukin [IL]-1β, IL-6, tumor necrosis factor [TNF]-α) between baseline and week 8 were calculated using paired t test. Pregnancy outcomes were recorded at parturition.

resultsRESULTS indicated a statistically significant reduction in all clinical variables (P <0.0001) and decreased levels of TNF-α (P = 0.0076) and IL-1β (P = 0.0098) in GCF during the study period. The rate of preterm births (<37 weeks of gestation) was 6.7% (P = 0.113) and low birth weight (<2,500 g) was 10.2% (P = 1.00).

conclusionsAmong the population studied, intensive instructions and non-surgical periodontal therapy provided during 8 weeks at early pregnancy resulted in decreased gingival inflammation and a generalized improvement in periodontal health. Large-scale, randomized, controlled studies are needed to substantiate these findings.

Indexed as

Oral HygienePeriodontal IndexPregnancy OutcomeAdolescentAdultCytokinesDental ScalingFemaleFollow-Up StudiesGingival Crevicular FluidGingivitisHumansInfant, Low Birth WeightInfant, NewbornInterleukin-1betaInterleukin-6CytokinesIL6 protein, humanInterleukin-1betaInterleukin-6Tumor Necrosis Factor-alphaCytokinesgingivitisinflammationoral hygienepregnancypremature birth

Identifiers

PMID25079400
PMCPMC4372244
OpenAlexW1982525560

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.